Peter Vila, MD

From setup to showtime

Such a fun night at our 2nd Annual Open House! Thank you to everyone who came out to celebrate and show their support. We’re so grateful for you!

Energy based devices irreversibly change the tissues of your face and neck.

I’ve operated on faces that have never had any previous cosmetic treatments and I’ve operated on patients that have had extensive nonsurgical treatments before my facelift, and I can tell you from experience that they are two completely different scenarios.

I’m not here to fear monger. But I will tell you that those devices absolutely change the tissues of your face and neck, and can make it very difficult to get a predictable result after a facelift.

By scarring down the soft tissues under the mantra of “skin tightening,” it effectively is turning the soft, pliable layers of your neck into a block of concrete. My patient yesterday had her platysma muscle completely fused to her neck skin with zero subcutaneous fat. This is not a good thing.

What does this result in? More swelling after surgery because the lymphatic vessels are gone. More soft tissue trauma during surgery because I have to dissect out tissue layers that are fused together. A longer recovery and potentially a compromised result because of all these things.

If a facelift is in your future, be very careful how you treat your face and neck!

To request access to the Portland Face Doctor team, visit portlandfacedoctor.com to set up a consultation, and follow Peter Vila, MD | Portland Face Doctor for more.
 

You read that right! 🤳 Call or text (503) 382-8899 To RSVP!

💥 Thursday, October 1, 2026 from 4:30pm to 7pm
📍12115 SW 70th Ave, Suite 100, Portland, OR 97223

Enjoy educational talks, exciting raffles, knowledgeable vendors, delicious drinks and bites, community connections, and a chance to get to know Portland Face Doctor a little better. We can’t wait to see you there!

Your brows and lids need to work together.

Sometimes, addressing upper eyelid hooding is as simple as an upper blepharoplasty, where I remove the excess skin that's weighing it down. However, if the brow is also low and approaching the eye, treating only one of these areas won’t look right because we’re not addressing both problems.

A brow lift does not make you look surprised, because it is not purely a vertical lift. While the procedure can include vertically lifting the brows, my primary focus is often on the tail of the brows to take weight off the outside of the eyes.

When you perform both procedures together, an upper blepharoplasty and a brow lift, it can be a great way to restore harmony, bring back the upper-lid show, and make you look refreshed. If you have both problems, tackling only one issue is not the solution. Even though it may sound easier and be less expensive, addressing both concerns through both procedures is often the best way forward.

If you’re experiencing upper eyelid heaviness and looking for a solution that’s right for you, visit portlandfacedoctor.comto schedule your consultation. We look forward to helping you on your journey to feeling refreshed and confident again!

We saved you a spot... ⬇️

💥 Thursday, October 1, 2026 from 4:30pm to 7pm

📍12115 SW 70th Ave, Suite 100, Portland, OR 97223

🤳Call or text (503) 382-8899 to RSVP!

Tired of looking tired? 👇

Lower eyelid bags are one of the most common cosmetic concerns, but not every under-eye issue requires surgery. When discussing rejuvenation with my patients, I typically see 3 main concerns:

1️⃣: Crepiness

Crepey skin doesn’t automatically mean you need surgery. Chemical peels and lasers can often significantly improve skin quality and texture, making them a great starting point.

2️⃣: Puffiness

Puffy under eyes are a perfect reason to seek out a lower blepharoplasty. I reposition the excess fat lower to create a smoother transition to the lower face using a transconjunctival approach, meaning the incision is made inside the eyelid to avoid visible scarring.

3️⃣: Hollows

True hollows are caused by a lack of volume, creating a sunken appearance, shadows, or dark circles. What appears to be hollowness can sometimes be your skin color, which is not correctable with surgery. In those cases, makeup may be the most effective option for concealing the appearance.

When true volume loss is present, adding volume can help. Filler may be appropriate in some cases, but fat transfer often provides the best long-term result. We often combine treatments such as lasers, fat transfer, and lower blepharoplasty depending on the patient.

➡️ Visit portlandfacedoctor.com to schedule a consultation, and we’ll find the approach that’s right for you. I look forward to helping you feel confident and rested again!